[Left internal mammary artery in octogenarians. Is its use in coronary revascularization justified?].
Given the longer survival of the population, the possibility for an octogenarian to get a coronary artery bypass procedure is more likely. It has been customary not to implant arterial conduits in this particular group of patients, in the belief that they increase the morbidity-mortality of the procedure, without longer survival. We undertook a retrospective analysis of a total of 148 patients older than 70 years subjected to coronary artery bypass procedures with left internal mammary artery implanted during a twelve year period. The mortality was 3.37%, there were no increased perioperative complications such as bleeding or mediastinal infections. It is our believe that even in this group of elderly patients the internal mammary artery is of benefit in the short and the long terms, without an increased perioperative complications.
Santibáñez Escobar
F
F
Departamento de Cirugía, Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Rendón Elías
F
F
Ramírez Marroquín
S
S
López Soriano
F
F
Barragán García
R
R
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008323:Mammary Arteries; D009204:Myocardial Revascularization / Q000009:adverse effects; D011183:Postoperative Complications; D012189:Retrospective Studies; D013997:Time Factors
Mamaria interna izquierda en octogenarios. Se justifica su uso en la revascularización coronaria?